MARTHA K BASILE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020673

License Status

ACTIVE

Business

First Name

MARTHA K

Last Name

BASILE

Suffix

DDS

Business Name

MARTHA K BASILE DDS

Original Issue Date

07/27/1987

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

MARENGO

State

Zip

60152

Ever Disciplined

LastModifiedDate

05/12/2024